Scholarship Application


Each fall and spring recommendations for scholarships and awards to veterinary students are made by the CVM Awards and Scholarships Committee. To make these recommendations, the committee members obtain information from the KSU Office of Student Financial Assistance and request the following information from students who wish to receive scholarships and awards.

If you would like to be considered for an award and/or scholarship, you must complete this form by
5:00 pm. on Friday, September 2nd, 2016.
                          

 

First Name : *  
Last Name : *  
Email : *  
Class : *  
Wildcat ID :
(9 digit number found on your ID card)
*
   
State where your hometown is located:
*  
Location of high school from which you graduated : *  
Approximate number in high school graduating class : *  
State where you received your undergraduate education :
*  
State where you received your high school education :
*  
State where you received your elementary education :
*  
I was raised in ... :  
State where you plan to practice after graduation (optional) :
(You may select up to '3' states by your order of preferences)
1.  

2.
 
3.  
Are you receiving educational support (greater than $3000) for this year from any source other than student loans? :  * 
What is your pre-veterinary educational debt? (in USD):
$*
(Numbers only)    
What is your veterinary educational debt? (in USD):
(Include debt for this school year. Do not include debt for future school years.)
$*
(Numbers only)
   
Total Educational Debt : $
What is your racial/ethnic background? :  
What are your career interests? :
(You may select up to '3' interests by your order of preferences)
1.  

2.
 
3.  
What clubs have you participated in while attending veterinary college? :




























List up to three leadership positions held within the College of Veterinary Medicine:    Organization :          Position held :                                      
1.     

2.    

3.    
Are you married? *
 
Do we have permission to release your GPA and class rank to the CVM Awards and Scholarships Committee? *
 
Are you a military veteran? *
 
By checking this box I state that the information I have given on this form is correct and complete. I understand that the information will be used by the CVM Awards and Scholarships Committee while making recommendations for the distribution of scholarships and awards. 
  Date : 12/02/2016